- Must be inside Arizona.
- Must be under 400% of the federal poverty level (FPL). Current federal poverty level information can be found here.
- Proof of HIV diagnosis (required with initial application).
- Payer-of-last-resort documentation: Proof that all other forms of insurance and coverage are used before ADAP funds.
- Denial letter from AHCCCS (Arizona's Medicaid program) if income is below 150% of the FPL.
State covers some form of HCV drug therapies as part of their approved drug formularies: Yes
To learn more about what HCV drug therapies are on the drug formulary, please visit tiicann.org/co-infection-watch.html (go to page #7).